Kimberly Paige Peterson, SLP is a
Speech-language Pathologist based in Macon, Mississippi. Kimberly Paige Peterson is licensed to practice in Mississippi (license number S4267) and her current practice location is
78 Hospital Rd, Macon, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 726-4231.
NPI number for Kimberly Paige Peterson is 1538678263 and her current mailing address is 711 Avignon Dr, Ridgeland, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538678263.
Healthcare Provider's Profile
Full Name | Kimberly Paige Peterson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 78 Hospital Rd, Macon, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538678263
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 09/26/2017
Medical Identifiers
Medical identifiers for Kimberly Paige Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538678263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | S4267 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Paige Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Paige Peterson, SLP 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777 | Kimberly Paige Peterson, SLP 78 Hospital Rd, Macon, MS 39341-2490 Ph: (662) 726-4231 |
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